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If you seek permanent results, surgery remains the gold standard

Combination Therapy: Often used alongside other hypoglycemic agents for enhanced efficacy

It is more about cellular energy processes

However, these factors may play a role: Higher Testosterone doses in your TRT protocol An elevated body fat percentage Advanced age Behavioral factors like smoking People with elevated red blood cell production may have symptoms including: High blood pressure and an increase in headaches Becoming red-faced and flushed during exercise or exertion Fatigue, lack of energy, and dizziness Shortness of breath when lying down Just as often, patients with polycythemia show NO symptoms